HomeMy WebLinkAbout308392 02/22/17 (9,
CITY OF CARMEL, INDIANA VENDOR: 371480
ONE CIVIC SQUARE GERRIT DEBOER CHECK AMOUNT: $********11.00*
CARMEL, INDIANA 46032 1030 CHURCHILL COURT CHECK NUMBER: 308392
INDIANAPOLIS IN 46280 CHECK DATE: 02/22/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 2000563006 11.00 REFUNDS AWARDS & INDE
Voucher No. Warrant No.
Deboer, Gerrit Allowed 20
1030 Churchill Court
Indianapolis, IN 46280
In Sum of$
$ 11.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-70 2000563006 4358400 $ 11.00 1 hereby certify that the attached invoice(s), or
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
i
February 17, 2017
Signature
$ 11.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
2/14M17 Receipt#2000563:006 -
. _ 4
Administrative Offices .IV
, : "Votlaer20563.0;06 -
1411.E. 116th Street.-.- Feb 14 ��1�712A3`AM
Carmel, IN 46032. F h B 1 -20 1 7- . . �� u
Pholie ..(317) 848-7275
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NDIANAP,�OLIS �I7N 46��80 N`D. A R,E I T-E D ads Gi E N :
Prepared By: michelley
Customer 1D: 56184 .. -
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Primary phone: (317).575.`1993, Secondary phone:
Refund Summary.
Check ($T11g00) Checi #
Total Reteived: ($11.00) Tbtal_Refundie,} rp11 Q
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Tnansactions
Customer. I?escrilition. . Item: :: :.Unit-- . qty dee .Charge:. . . ,
61eti nesoer Adaptive Adult Karaoke Nighf#378039-02 Activity Fee Each 1:00 $11.00- ($11.00)
1030 Churchill Court " . Action:Withdraw
Indianapolis,IN 46280 Withdrawal Date.:.Feb 14,2017
Primary phone: (317)575-1993 '
Ernail:gkdeboer@yahoo,com .' .'Meets: Felii'uary 24,2017
ID: 202 Friday-from 6pm to.8pm
.Location:'
Program Room A at Monon Community center East Building
Tota I .0
harges. ($11:00). : . .'. .. .
Total Payments.($111.0.0)
B
alance $0
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